# ATLANTIC SC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295494359
- **Authorized official:** MARIANNE JORGENSEN (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (631) 743-1145

## Contact information

- **Practice address:** 1145 MONTAUK HWY, WEST ISLIP, NY 11795-4909
- **Practice address phone:** (631) 743-1145
- **Mailing address:** 1145 MONTAUK HWY, WEST ISLIP, NY 11795-4909
- **Mailing address phone:** (631) 743-1145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/15/2021
- **Last updated:** 12/19/2022